Case Report
 
Pediatric ovarian torsion in a nine-year-old girl: A twisted tale of pain
Mutiso Steve Kyende1, Oindi Felix Mwembi2
1BSc (Physiology), MBChB, Resident, Department of Obstetrics and Gynaecology, Aga-Khan University, Nairobi, Kenya
2BSc (Physiology), MBChB, Resident, Department of Obstetrics and Gynaecology, Aga-Khan University, Nairobi, Kenya

Article ID: Z01201705CR10800MK
doi:10.5348/ijcri-201761-CR-10800

Address correspondence to:
Oindi Felix Mwembi
Oindi Felix Mwembi, Department of Obstetrics and Gynecology
Aga Khan University
Nairobi, Kenya

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How to cite this article
Mutiso SK, Oindi FM. Pediatric ovarian torsion in a nine-year-old girl: A twisted tale of pain. Int J Case Rep Images 2017;8(5):348–351.


ABSTRACT
Introduction: Ovarian torsion is a rare gynecological emergency in children with a non-specific clinical presentation. It poses a diagnostic dilemma and quick diagnosis and management are key to good outcomes. We present a case of pediatric ovarian torsion and subsequently conduct a literature review outlining its salient features.
Case Report: A nine-year-old girl presented with acute lower abdominal pain to the emergency department. She was worked up and tests were suggestive of ovarian torsion. She had surgical detorsion via laparoscopy and recovered well from surgery.
Conclusion: Pediatric ovarian torsion is a rare disorder that offers a diagnosis and management challenge to gynecologists. The case presented outlines one such case and this may help in adding to the body of knowledge about this condition. It should always be considered in cases of acute unilateral lower abdominal pain in a girl and its quick diagnosis and conservative approach to management is associated with good outcomes.

Keywords: Conservative, Ovarian, Pediatric, Torsion




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Author Contributions
Mutiso Steve Kyende – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Oindi Felix Mwembi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mutiso Steve Kyende et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.